Optical Diagnostics of the Maxillary Sinuses by Digital Diaphanoscopy Technology.

Ekaterina O Bryanskaya,Olga A Bibikova,Viktor V Dremin,Irina N Novikova,Roman Yu Gneushev,Viacheslav G Artyushenko,Andrey V Dunaev

doi:10.3390/diagnostics11010077

Abstract

The work is devoted to the development of a scientific and technical basis for instrument implementation of a digital diaphanoscopy technology for the diagnosis of maxillary sinus inflammatory diseases taking into account the anatomical features of patients (differences in skin structure, skull bone thickness, and sinus size), the optical properties of exercised tissues, and the age and gender characteristics of patients. The technology is based on visualization and analysis of scattering patterns of low-intensity radiation as it passes through the maxillary sinuses. The article presents the experimental data obtained using the digital diaphanoscopy method and the results of numerical simulation of the optical radiation passage through the study area. The experimental setup has been modernized through the installation of a a device for controlling the LED applicator brightness. The approach proposed may have considerable promise for creating diagnostic criteria for various pathological changes and can be used to assess the differences in the optical and anatomical features of males and females.

Highlights

Sinusitis is a common disease with worldwide prevalence and one of the leading causes of antibiotic prescription [1]
An accurate, painless, and timely diagnosis of maxillary sinus pathology is one of the key problems of modern otolaryngology. Diagnostic imaging techniques, such as radiography, computed tomography, magnetic resonance imaging, ultrasound diagnostics, and rhinoscopy, are important tools to detect this kind of disorder, but they are not recommended for pregnant women and children due to the use of carcinogenic roentgen radiation during the study, painfulness of the diagnostic procedures, and a high level of false-negative results
The purpose of this study was to develop a scientific and technical basis for instrument implementation of the technology proposed for diagnosing maxillary sinus pathology, taking into account the anatomical features of the study area, its optical properties, and age and gender characteristics

Summary

Introduction

Sinusitis is a common disease with worldwide prevalence and one of the leading causes of antibiotic prescription [1]. Delay in diagnosis and treatment of sinusitis may cause serious effects such as immune sensitivities to medication, development of different complications, including intracranial complications (50% of deaths). An accurate, painless, and timely diagnosis of maxillary sinus pathology is one of the key problems of modern otolaryngology. Diagnostic imaging techniques, such as radiography, computed tomography, magnetic resonance imaging, ultrasound diagnostics (including assessment of stiffness and echogenicity), and rhinoscopy, are important tools to detect this kind of disorder, but they are not recommended for pregnant women and children due to the use of carcinogenic roentgen radiation during the study, painfulness of the diagnostic procedures, and a high level of false-negative results

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Discussion

Conclusion